Evidence map›Paper›PMID 36118954›Full record

ArticleNorth American Spine Society journal2022

Correlation of Patient Reported Satisfaction With Adverse Events Following Elective Posterior Lumbar Fusion Surgery: A Single Institution Analysis.

Michael R Mercier, Anoop R Galivanche, Ryan McLean, Alexander J Kammien, Courtney S Toombs, Daniel R Rubio, Arya G Varthi, Jonathan N Grauer

Abstract read
In one paragraph

Article in North American Spine Society journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Michael R MercierDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, 47 College Street, New Haven, CT 06511.
Anoop R GalivancheDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, 47 College Street, New Haven, CT 06511.
Ryan McLeanDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, 47 College Street, New Haven, CT 06511.
Alexander J KammienDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, 47 College Street, New Haven, CT 06511.
Courtney S ToombsDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, 47 College Street, New Haven, CT 06511.
Daniel R RubioDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, 47 College Street, New Haven, CT 06511.
Arya G VarthiDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, 47 College Street, New Haven, CT 06511.
Jonathan N GrauerDepartment of Orthopaedics and Rehabilitation, Yale School of Medicine, 47 College Street, New Haven, CT 06511.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NIA Short Term Research Training: Students in Health Professional SchoolsT35AG049685 · NIA · YALE UNIVERSITY · PI Sarwat I Chaudhry, Terri R. Fried · 2016 to 2026
$804k
NCATS NIH HHS UL1 TR001863NIA NIH HHS T35 AG049685
6 · The paper itself

Abstract

Background: With increasing emphasis on patient satisfaction metrics, such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, hospital reputations and reimbursements are being affected by their results. The purpose of the current study is to determine if post-operative self-reported patient satisfaction differed among patients who experienced any adverse event (AAE) following elective posterior lumbar fusion (PLF) surgery compared to those who did not. Methods: Patients who underwent elective PLF surgery performed at a single institution between February 2013 and May 2020 and returned an HCAHPS survey following discharge were included in the retrospective cohort analysis. Demographic, comorbidity, and HCAHPS survey data were compared between patients who did and did not experience any adverse event (AAE) in the 30-days postoperatively. Results: Of 5,117 PLF patients, the HCAHPS survey was returned by 1,071 patients, of which 30-day AAE was experienced by 40 (3.73%). Of those that experienced AAE, the survey response rate was significantly lower (13.94% versus 21.35%, p=0.003). Those responding reported lower scores pertaining to if medication side-effects were adequately explained (22.22% versus 52.56%, p=0.002) and if post-discharge care was adequately explained (79.17% versus 93.76%, p=0.005), as well as overall top-box responses (67.62% versus 75.93% survey average, p<0.001). Conclusions: Patients experiencing AAE after elective PLF surgery are less likely to respond to surveys about their hospital experience. For those who did respond, they report less satisfaction with multiple aspects of their hospital care measured by the HCAHPS survey. Understanding how postoperative adverse events impact patients' perception of healthcare quality provides insight into what patients value and has implications for optimizing their care.

Indexed as

adverse eventscomplicationsHCAHPSNSQIPposterior lumbar fusionquality improvementsatisfaction

Identifiers

PMID36118954
PMCPMC9478916

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.